@gulfcoastwoman I got rid of SIBO (hydrogen only) by alternating anti-bacterials (berberine) with courses of Rifaximin (from India) AND I had to take a biofilm disruptor to get that the anti-bacterials/antibiotics to be effective. I still take LDN as my prokinetic. I agree you have to find a SIBO practitioner. Otherwise, you're wasting your time. I've used naturopaths because they were ahead the game when I had it in 2017 and relapsed in 2020.